We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

Neuropsychological Changes Following Military Service in Iraq Case Proven, But What Is the Significance?

Matthew Hotopf, PhD; Simon Wessely, FMedSci
JAMA. 2006;296(5):574-575. doi:10.1001/jama.296.5.574.
Text Size: A A A
Published online


Since the 1990-1991 Persian Gulf War, the idea that the health of military personnel returning from major deployments should be monitored proactively has been established. Major studies are under way on both sides of the Atlantic on the health of personnel deployed to Iraq. The research that has emerged so far on US veterans of Operation Iraqi Freedom indicates that there have indeed been many psychiatric casualties, with high prevalence rates of symptoms of posttraumatic stress disorder (PTSD), depression, and anxiety. Up to 20% of soldiers and marines returning from deployment to Iraq and Afghanistan met criteria for PTSD.1 Similar findings have been documented by routine screening performed by the US Army.2 The situation for UK personnel returning from Operation TELIC in the 2003 Iraq War is—with the exception of reservists—rather different, with a prevalence of PTSD (measured using identical measures to the US studies) and depressive symptoms similar to those of nondeployed personnel.3 These international differences may in part be explained by the nature of deployments, with US personnel on longer tours of duty in more dangerous parts of Iraq. It also may relate to the populations deployed—the deployed US military personnel are younger and have considerably less experience of active deployment than their British counterparts.3 Whatever the reasons, some of the most significant health effects for returning personnel seem to have been on mental health, and, thus far, there is no evidence of a repeat of the multiple physical symptoms that characterized Persian Gulf War illness.4

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

5 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
PubMed Articles